Contents of a Program for Schools to Manage the Health of Children Undergoing the Nuss Procedure

2019 Fiscal Year Final Research Report

• Project/Area Number: 16K12188
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Lifelong developmental nursing
• Research Institution: Kawasaki University of Medical Welfare
• Principal Investigator: NAMBA Tomoko 川崎医療福祉大学, 医療技術学部, 教授 (30441489)
• Co-Investigator(Kenkyū-buntansha): 中新 美保子 川崎医療福祉大学, 保健看護学部, 教授 (00319998) ; 岩藤 百香 川崎医療福祉大学, 医療福祉マネジメント学部, 講師 (80612986)
• Project Period (FY): 2016-04-01 – 2020-03-31
• Keywords: 漏斗胸 / 養護教諭 / 学校 / 保健管理 / Nuss法手術 / サポートブック

Outline of Final Research Achievements

The purpose of this study is to create and propose a school health management support book for children who need pectus exacavatum. Through qualitative analysis, 3 categories recounting their lives before surgery were created: [identifying chest deformities in the early stages], [providing information regarding specialized medical institutions], and [reducing anxiety over surgery and returning to school]. Similarly, there were 8 categories outlining their lives after returning to school: [identifying complications in the early stages and preventing them], [making judgments on activity restrictions and exercise guidance needed], [establishing peer support systems], [nurturing self-care skills], [mental care], [emergency care for chest bruises and cardiopulmonary resuscitation], [managing the condition before and after the removal of the bar], and [collaborating with medical institutions].

Free Research Field

学校保健学

Academic Significance and Societal Importance of the Research Achievements

本研究の意義は、これまで注目されることのなかった胸郭異常のある子どもの早期発見から，治療後・復学後の包括的で具体的な学校保健管理の方法について、学校・家庭・病院の情報共有を可能にする資料として提示できたことである． 11のプログラムで構成したサポートブックは養護教諭をはじめとする学校保健活動に携わる人たちが活用することにより，胸郭異常のある子どもが学校生活を楽しく安全に過ごすことを保障し，結果としてＱＯＬの向上につながるものになりうる．